Malia paha ua loaʻa iā ʻoe kahi scan MRI o kou poʻo no kekahi kumu ʻē aʻe, malia paha no kekahi mea e like me ke poʻo pinepine. I kou heluhelu ʻana i ka hōʻike, ua ʻike paha ʻoe i kahi inoa e like me "Rathke's Cleft Cyst" a ua makaʻu loa ʻoe. He mea maʻamau ka loaʻa ʻana o nā nīnau he tausani e holo ana i loko o kou manaʻo, e like me, 'Auē kuʻu Akua, he puʻupuʻu lolo anei kēia? He maʻi ʻaʻai anei kēia?' Akā ma mua o kou hopohopo, e heluhelu i kēia ʻatikala. I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi i loaʻa i nā poʻe he nui, akā i ka hapa nui o ka manawa, ʻaʻohe mea ʻino.
He aha ka Rathke's Cleft Cyst? E hoʻomaopopo maʻalahi kākou.
ʻAe, e hoʻomaka kākou ma ka hoʻomaka. Aia ma lalo o kou lolo, ma hope pono o kou ihu, he ʻōpū liʻiliʻi, ʻano pea. Ua kapa ʻia ʻo ia ʻo ka pituitary gland . He liʻiliʻi ia, akā he haku hana ia e kāohi ana i nā mea nui he nui i loko o kou kino. ʻO ia ka mea e kāohi ana i ka ulu ʻana o kou kino, ka hana thyroid, a me nā hormones wahine i nā kāne a me nā wahine.
He ʻano ʻōpū liʻiliʻi piha i ka wai ka Rathke's cleft cyst e kū ana ma luna a kokoke paha i ka pituitary gland. Ua like ia me ka pehu wai. ʻO ka mea nui e pono ai ʻoe e hoʻomanaʻo ma ʻaneʻi, ʻaʻole kēia he maʻi kanesa . He mau ʻōpū ʻino wale nō kēia e ulu ana.
No ke aha e makemake ai kahi puʻupuʻu i kēia ʻano?
He moʻolelo kupanaha loa ke kumu o kēia. I ko kākou wā he mau keiki ʻōpiopio i loko o ka ʻōpū o ko kākou mau makuahine, e hana ʻia ana kahi ʻāpana liʻiliʻi e like me ka ʻeke i kapa ʻia ʻo 'Rathke's Pouch' i ka wā e ulu ana ko kākou pituitary gland. ʻO ka maʻamau, pani ʻia kēia ʻeke i ka wā e ulu piha ai ka pituitary gland.
Akā i kekahi poʻe, ʻaʻole e pani piha kēia ʻeke, e waiho ana i kahi hakahaka liʻiliʻi. I ka hala ʻana o ka manawa, piha kēia hakahaka i koe me kahi wai e like me ka mucus, ka mea e hana ai i kēia cyst. No laila, ʻaʻole kēia he mea āu i hana hewa ai, a i ʻole kahi mea āu i ʻai ai a inu ai paha, a i ʻole kahi mea āu i hana ai. He loli liʻiliʻi kēia e kū nei i ka wā hānau.
Ke hana nei kēia i nā kānaka he nui?
He mea paʻakikī ke ʻōlelo pololei i ke ʻano maʻamau o kēia. No ka mea, ʻaʻole ʻike ka nui o ka poʻe he nui ko lākou ʻano puʻupuʻu. No ka mea, ʻaʻole ia e hōʻike i kekahi mau hōʻailona. Akā, manaʻoʻiʻo nā kauka aia ma waena o 1% a me 5% o ka heluna kanaka maʻamau e loaʻa ana kēia mau puʻupuʻu. ʻO ia hoʻi, aia ma waena o 1 a me 5 o kēlā me kēia 100 poʻe.
ʻO ka hapa pinepine, ʻike ʻia kēia mau mea i ka wā o nā scan MRI o nā pākeke ma waena o 30 a me 50 mau makahiki. He mea kākaʻikahi loa kēia ʻano i nā keiki ʻōpio.
He aha nā hōʻailona? Loaʻa i nā kānaka a pau nā hōʻailona?
ʻAʻole. ʻAʻole hōʻike ka hapa nui i kekahi mau hōʻailona.Noho lākou i kahi ola maʻamau. Akā i kekahi manawa, inā nui iki kēia puʻupuʻu, hoʻomaka ia e kaomi i nā ʻāpana koʻikoʻi a puni. ʻO ia ka manawa e kū mai ai nā pilikia.
E noʻonoʻo, he aha ka mea e hana ʻia inā e kaomi kēia puʻupuʻu i ke aʻalolo optic e hele ana mai kou mau maka a i kou lolo? A laila hiki iā ʻoe ke loaʻa nā pilikia ʻike. A inā e kaomi ia i ka pituitary gland ponoʻī, hiki ke hoʻopilikia ʻia ka hana ʻana o ka hormone, e hana ana i nā ʻano hōʻailona like ʻole.
E nānā i ka papa ma lalo no nā hōʻailona e hiki mai ana.
| Māhele ʻano | Nā hōʻailona hiki ke loaʻa |
|---|---|
| Nā pilikia ʻike |
|
| Nā pilikia e pili ana i ka hormone | |
| Nā hiʻohiʻona maʻamau ʻē aʻe |
Mea nui: E hoʻomanaʻo, he nui nā kumu maʻamau ʻē aʻe o nā hōʻailona e like me ke poʻo ʻeha a me ka luhi, no laila, mai manaʻo he Rathke's Cleft Cyst kou no ka mea wale nō he mau hōʻailona kēia.
Pehea e ʻike ai ke kauka i kēia?
ʻO ka maʻamau, aia kekahi mau hoʻokolohua e ʻike ai i kēia.
- Nānā MRI:ʻO kēia ke ʻano hana koʻikoʻi a pololei loa. Hiki iā ia ke kiʻi i nā kiʻi maopopo o ka lolo a me ke kelepa pituitary, e hiki ai iā ʻoe ke ʻike pono i kahi o ka puʻupuʻu a me kona nui.
- Nā Hoʻāʻo Koko: E hana ʻia kahi hoʻāʻo koko e nānā inā he maʻamau nā pae o nā hormones i hoʻokuʻu ʻia e kou gland pituitary. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ke hoʻopilikia nei ka puʻupuʻu i kāu mau hormones.
- Nā Hoʻāʻo ʻIke: E nānā ke kauka maka i kou ʻike, ʻoiai kāu mau kahua ʻike.
Pono maoli anei e wehe ʻia kēia mau puʻupuʻu?
ʻAʻole loa. ʻO kēia ka nūhou maikaʻi loa nāu. Inā ʻaʻohe ou hōʻailona a he liʻiliʻi ka puʻupuʻu, e ʻōlelo pinepine kāu kauka , "E kali wale kākou a ʻike." ʻO ia hoʻi, e hana wale lākou i kahi scan MRI i kēlā me kēia makahiki a ʻelua paha e ʻike inā e nui aʻe ka puʻupuʻu.
ʻO ke ʻoki kino wale nō ka mea e pono ai no ka poʻe i loaʻa nā hōʻailona. ʻO ia hoʻi, ua manaʻo ʻia ke ʻoki kino inā e hoʻopilikia ana ka puʻupuʻu i ka ʻike, e hoʻoulu ana i nā poʻo ʻeha hiki ʻole ke hoʻomanawanui, a i ʻole e hoʻopilikia nui ana i nā hormones.
Pehea e hana ʻia ai ke ʻoki kino?
Me ka ʻenehana holomua o kēia wā, ʻaʻole pono kēia i ke ʻoki kino nui. ʻO ka hapa nui o ka manawa, hana ʻia ia ma ke ʻano endoscopically .
Ma kēia kaʻina hana, hoʻokomo kahi neurosurgeon i kahi kāmela liʻiliʻi a me nā mea hana palupalu ma o ka ihu e hiki ai i ka pituitary gland, aia ma ke kumu o ka lolo. A laila wehe ʻia ka puʻupuʻu, hoʻokahe ʻia ke wai, a wehe ʻia ka nui o ka paia o ka puʻupuʻu e like me ka hiki. ʻOiai ʻaʻole i wehe ʻia ke poʻo i kēia kaʻina hana, ʻoi aku ka pōkole o ka manawa hoʻōla a ʻoi aku ka liʻiliʻi o nā pilikia.
Pehea ka holomua o ke ʻoki kino? Hiki iā ia ke ulu hou?
Ua hōʻike ʻia nā haʻawina he nui ma hope o ke ʻoki ʻana , ʻike ka hapa nui o nā maʻi i ka hoʻomaikaʻi nui ʻana i kā lākou mau hōʻailona , ʻoiai ka poʻe i loaʻa nā pilikia maka.
Eia nō naʻe, no kahi poʻe liʻiliʻi, aia kahi manawa liʻiliʻi e hoʻi hou mai ai ka puʻupuʻu i kekahi mau makahiki ma hope o ke ʻoki ʻana. ʻO ia ke kumu ma hope o ke ʻoki ʻana, pono ʻoe e hana i nā scan MRI i kēlā me kēia manawa, e like me ka ʻōlelo a kāu kauka.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
Inā ʻike ʻoe he Rathke's Cleft Cyst kou, ʻaʻohe mea e hopohopo ai. Eia nō naʻe, inā ʻike koke ʻia nā hōʻailona ma lalo nei, he pilikia paha ia. Inā hana ʻia kēia , e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Ka loli koke ʻana o ka ʻike a i ʻole ka nalowale koke ʻana o ka ʻike.
- He ʻeha poʻo ʻino loa a hiki ʻole ke hoʻomanawanui.
- Ka huikau, ka ʻike i loli, a i ʻole kahi loli nui i ke ʻano.
Nā nīnau e nīnau aku ai i kāu kauka
He mea maʻamau ka loaʻa ʻana o nā nīnau he nui ke loaʻa iā ʻoe kahi hōʻailona e like me kēia. Mai poina e nīnau i kēia mau nīnau ke hele ʻoe e ʻike i kāu kauka.
- E ke kauka, hiki iā ʻoe ke maopopo 100% ʻaʻole kēia he maʻi kanesa?
- Pehea ka nui o koʻu puʻupuʻu?
- ʻO kēia ʻōpū anei ka mea i hoʻokumu i nā hōʻailona i loaʻa iaʻu i kēia manawa?
- E pono anei iaʻu ke ʻoki kino? A i ʻole hiki iaʻu ke nānā wale aku?
- He aha nā hōʻailona e pono iaʻu e makaʻala nui?
- Inā e nānā ʻia ana kēia, pehea ka lōʻihi e pono ai e hana hou ʻia kahi scan MRI?
- Āhea wau e hele hou ai e ʻike i ke kauka?
Leka Lawe-Home
- ʻO ka Rathke's Cleft Cyst kahi cyst piha i ka wai (ʻaʻole ia he maʻi kanesa) e ulu ana i loko o ke kelepa pituitary.
- ʻAʻohe hōʻailona o ka nui o ka poʻe a ʻaʻole pono ka lāʻau lapaʻau. ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau mea ma ka ulia pōpilikia.
- Ulu mālie loa kēia mau puʻupuʻu, i kekahi manawa ʻaʻole loa, a emi iho paha.
- ʻAʻole noʻonoʻo ʻia ke wehe ʻana i ke ʻoki kino inā loaʻa nā hōʻailona e like me nā pilikia ʻike, nā ʻeha poʻo nui, a i ʻole nā pilikia hormonal.
- Inā he mau hopohopo a kānalua paha kāu e pili ana i kou kūlana, e kamaʻilio ākea me kāu kauka e pili ana i ia mea. ʻO ka nānā pono ʻana a, inā pono, ka mālama ʻana, ʻo ia nā mea nui loa.
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